2026 ICD-10-CM Diagnosis Code O62.4Hypertonic, incoordinate, and prolonged uterine contractions

ICD-10-CM Codes›O00-O9A›O60-O77›O62

ICD-10-CM O62.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O62.4 is a billable ICD-10-CM diagnosis code for hypertonic, incoordinate, and prolonged uterine contractions. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malposition, disproportion or other labor complications.

Code Identity

ICD-10-CM Code
O62.4
Billable Status
Yes — Valid for Submission
Code Describes
Hypertonic, incoordinate, and prolonged uterine contractions
Short Description
Hypertonic, incoordinate, and prolonged uterine contractions
Same as the full description in the CMS dataset.
Parent Code
O62
Abnormalities of forces of labor

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO60-O77Complications of labor and delivery
CategoryO62Abnormalities of forces of labor
This CodeO62.4Hypertonic, incoordinate, and prolonged uterine contractions

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O62.4.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Contraction ring dystocia
  • Dyscoordinate labor
  • Fetal disorder due to hypertonic uterine dysfunction
  • Fetal disorder due to maternal contraction ring
  • Fetal disorder due to maternal disorder of labor
  • Fetal disorder due to uterine dystocia
  • Finding of duration of uterine contraction
  • Finding of strength of uterine contraction
  • Hypertonic contractions
  • Hypertonic lower uterine segment during labor
  • Hypertonic uterine dysfunction
  • Hypertonic uterine inertia
  • Pelvic dystocia AND/OR uterine disorder
  • Persistent uterine contraction
  • Retraction ring dystocia
  • Tetanic contractions of uterus
  • Uterine incoordination, first degree
  • Uterine incoordination, second degree

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Cervical spasm
  • Contraction ring dystocia
  • Dyscoordinate labor
  • Hour-glass contraction of uterus
  • Hypertonic uterine dysfunction
  • Incoordinate uterine action
  • Tetanic contractions
  • Uterine dystocia NOS
  • Uterine spasm

Type 1 Excludes

  • dystocia fetal maternal NOS O66.9

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Bandl's ring(contraction), complicating delivery
    • Constriction
      • ring dystocia (uterus)
    • Contraction(s), contracture, contracted
      • hourglass
        • uterus (complicating delivery)
    • Contraction(s), contracture, contracted
      • ring (Bandl's) (complicating delivery)
    • Contraction(s), contracture, contracted
      • uterus
        • clonic (complicating delivery)
    • Contraction(s), contracture, contracted
      • uterus
        • dyscoordinate (complicating delivery)
    • Contraction(s), contracture, contracted
      • uterus
        • hourglass (complicating delivery)
    • Contraction(s), contracture, contracted
      • uterus
        • hypertonic
    • Contraction(s), contracture, contracted
      • uterus
        • incoordinate (complicating delivery)
    • Contraction(s), contracture, contracted
      • uterus
        • tetanic (complicating delivery)
    • Delivery(childbirth) (labor)
      • cesarean (for)
        • incoordinate uterine action
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • Bandl's ring
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • contraction, contracted ring
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • dysfunction, uterus NOS
            • hypertonic
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • dysfunction, uterus NOS
            • incoordinate
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • hourglass contraction, uterus
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • incoordinate uterus contractions
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • pathological retraction ring, uterus
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • spasm, cervix
    • Delivery(childbirth) (labor)
      • complicated
        • by
          • tetanic uterus
    • Dysfunction
      • uterus, complicating delivery
        • hypertonic
    • Dystocia
      • contraction ring
    • Dystocia
      • uterine NEC
    • Hypertony, hypertonia, hypertonicity
      • uterus, uterine (contractions) (complicating delivery)
    • Incoordinate, incoordination
      • uterus (action) (contractions) (complicating delivery)
    • Prolonged, prolongation(of)
      • uterine contractions in labor
    • Retraction
      • ring, uterus (Bandl's) (pathological)
    • Ring(s)
      • Bandl's
    • Ring(s)
      • contraction, complicating delivery
    • Ring(s)
      • retraction, uterus, pathological
    • Spasm(s), spastic, spasticity
      • cervix, complicating delivery
    • Spasm(s), spastic, spasticity
      • uterus
        • complicating labor

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG024
Malposition, disproportion or other labor complications
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Childbirth Problems

Childbirth is the process of giving birth to a baby. It includes labor and delivery. Usually everything goes well, but problems can happen. They may cause a risk to the mother, baby, or both. Some of the more common childbirth problems include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert O62.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
661.41 Uter dystocia NOS-deliv
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O62.4Overview

Is O62.4 (Abnormalities of forces of labor) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hypertonic, incoordinate, and prolonged uterine contractions on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does O62.4 group to?

When hypertonic, incoordinate, and prolonged uterine contractions is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O62.4 be reported for?

The Medicare Code Editor checks hypertonic, incoordinate, and prolonged uterine contractions against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O62.4?

Under the General Equivalence Mappings, hypertonic, incoordinate, and prolonged uterine contractions converts to ICD-9-CM 661.41 (uter dystocia NOS-deliv). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.